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sourveillance after rplnd

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  • #1

    sourveillance after rplnd

    hi...How is the structure of sourveillance in us after rplnd?
    in italy only xray and marker every month...
    in usa do you use ct scan after rplnd?
    thanks
    davide

    my rplnd date is coming...i'm feeling a little ansious...
    left I/O 1/9/07 - 95% embrional carcinoma 5% seminoma with vascular invasion afp 27 bhcg 80- 2/10/07 ct and markers clean, left rplnd 4/23/07 3 microscopic lynph node found with ec - 3/30/09 all clean
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  • #2
    thank you for the reply Robert...I've asked and they will take out all the left lynph togheter, in one big pack...they will make fast istologic exam during surgery on my left template (after removing) just to be shure that unilateral is enougt for me, otherwise they will proceed with right nerve sparing dissection.
    tks
    davide

    ps. they want to read again my glass (cells of the testis revmoved) if there is no vascoular invasion laparoscopic will be an option for me...
    ...doc told me that this error on reading are not uncommon...laparo is safe like open?
    left I/O 1/9/07 - 95% embrional carcinoma 5% seminoma with vascular invasion afp 27 bhcg 80- 2/10/07 ct and markers clean, left rplnd 4/23/07 3 microscopic lynph node found with ec - 3/30/09 all clean

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    • #3
      Laproscopic is effective when done by an expert. Just remember that if they have any difficulty getting to some affected nodes they may have to revert to a full open.
      Son Jason diagnosed 4/30/04, stage III. Right I/O 4/30/04. Graduated College 5/13/04. 4XEP 6/7/04 - 8/13/04. Full open RPLND 10/13/04. All Clear since.

      Treated by Dr. Rakowski of Midland Park, NJ. Visited Sloan Kettering for protocol advice. RPLND done at Sloan Kettering.

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      • #4
        Davide,
        It is good they are looking at the slides again to see if you have other options. It is normal to be anxious, but many guys here have gone through RPLND and can help you.
        Retired moderator. Husband, left I/O 16Dec2005, stage I seminoma with elevated b-HCG, no LVI, RTx15 (25Gy). All clear ever since.

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        • #5
          It doesn't look like there was any teratoma in your pathology, so hopefully they won't find any in the lymph nodes either. CTs normally come up when teratoma is involved. I'm down to one CT every 8 months at this point, not quite 2 years out from my RPLND (we pushed the surveillance schedule back up when they found teratoma in my lung last year).
          Vinny (aka Frank)
          http://vinnysgotcancer.blogspot.com
          left I/O 1/5/05; 95%EC / 5% mature teratoma; stage IIIC
          4x BEP 1/24/05 - 4/11/05; RPLND (left side) 5/31/05
          VATS resection of teratoma from left lung 4/26/06
          Presently surveilling

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          • #6
            thank to everyone for the support!
            I hope the next moths will be very fast!
            davide
            left I/O 1/9/07 - 95% embrional carcinoma 5% seminoma with vascular invasion afp 27 bhcg 80- 2/10/07 ct and markers clean, left rplnd 4/23/07 3 microscopic lynph node found with ec - 3/30/09 all clean

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            • #7
              ...hehe...you was thinking of me on my first night after my rplnd...
              thanks!

              i opened a new thread...
              left I/O 1/9/07 - 95% embrional carcinoma 5% seminoma with vascular invasion afp 27 bhcg 80- 2/10/07 ct and markers clean, left rplnd 4/23/07 3 microscopic lynph node found with ec - 3/30/09 all clean

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